Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies
We recently reported a small study at the Federation of European Societies for Surgery of the hand, which was entitled ′What is secondary flexor tendon surgery′? This study concluded that ′secondary flexor tendon surgery′ was a generic name encompassing a multitude of pathologies. Between 10% and 15...
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Thieme Medical and Scientific Publishers Pvt. Ltd.
2013-01-01
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| Series: | Indian Journal of Plastic Surgery |
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| Online Access: | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=325;epage=332;aulast=Elliot |
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| author | David Elliot Thomas Giesen |
| author_facet | David Elliot Thomas Giesen |
| author_sort | David Elliot |
| collection | DOAJ |
| description | We recently reported a small study at the Federation of European Societies for Surgery of the hand, which was entitled ′What is secondary flexor tendon surgery′? This study concluded that ′secondary flexor tendon surgery′ was a generic name encompassing a multitude of pathologies. Between 10% and 15% of cases exhibited pathology of the skin and subcutaneous fat and required flap reconstruction of these tissues. Skin replacement may be used prophylactically at primary surgery or become necessary at secondary surgery after release of scar contractures, to achieve cover of vital structures. The long-term problem of skin deficiency relating to flexor tendon function is one of loss of extension from longitudinal scar shortening of the integument, even if the flexor tendons are primarily concerned with bending the digits, not straightening them. This loss of extension can only be tolerated in a hand to a certain degree without significant loss of function. This paper is largely an analysis of the flaps available and suitable for different degrees of skin deficiency and at different places along the course of the flexor system. It attempts to dispel the idea that ′any flap will do′ provided the flexors are adequately covered. |
| format | Article |
| id | doaj-art-a39f798e3aca4575b8f0e63e27dfa08e |
| institution | OA Journals |
| issn | 0970-0358 1998-376X |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Indian Journal of Plastic Surgery |
| spelling | doaj-art-a39f798e3aca4575b8f0e63e27dfa08e2025-08-20T02:20:19ZengThieme Medical and Scientific Publishers Pvt. Ltd.Indian Journal of Plastic Surgery0970-03581998-376X2013-01-0146232533210.4103/0970-0358.118611Treatment of unfavourable results of flexor tendon surgery: Skin deficienciesDavid ElliotThomas GiesenWe recently reported a small study at the Federation of European Societies for Surgery of the hand, which was entitled ′What is secondary flexor tendon surgery′? This study concluded that ′secondary flexor tendon surgery′ was a generic name encompassing a multitude of pathologies. Between 10% and 15% of cases exhibited pathology of the skin and subcutaneous fat and required flap reconstruction of these tissues. Skin replacement may be used prophylactically at primary surgery or become necessary at secondary surgery after release of scar contractures, to achieve cover of vital structures. The long-term problem of skin deficiency relating to flexor tendon function is one of loss of extension from longitudinal scar shortening of the integument, even if the flexor tendons are primarily concerned with bending the digits, not straightening them. This loss of extension can only be tolerated in a hand to a certain degree without significant loss of function. This paper is largely an analysis of the flaps available and suitable for different degrees of skin deficiency and at different places along the course of the flexor system. It attempts to dispel the idea that ′any flap will do′ provided the flexors are adequately covered.http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=325;epage=332;aulast=ElliotFinger flapsskin defect in secondary flexor tendon surgerytendon cover |
| spellingShingle | David Elliot Thomas Giesen Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies Indian Journal of Plastic Surgery Finger flaps skin defect in secondary flexor tendon surgery tendon cover |
| title | Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies |
| title_full | Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies |
| title_fullStr | Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies |
| title_full_unstemmed | Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies |
| title_short | Treatment of unfavourable results of flexor tendon surgery: Skin deficiencies |
| title_sort | treatment of unfavourable results of flexor tendon surgery skin deficiencies |
| topic | Finger flaps skin defect in secondary flexor tendon surgery tendon cover |
| url | http://www.ijps.org/article.asp?issn=0970-0358;year=2013;volume=46;issue=2;spage=325;epage=332;aulast=Elliot |
| work_keys_str_mv | AT davidelliot treatmentofunfavourableresultsofflexortendonsurgeryskindeficiencies AT thomasgiesen treatmentofunfavourableresultsofflexortendonsurgeryskindeficiencies |